Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrc West Medspa LLC

Organization Clinic/Center · NPI 1447905245

Mrc West Medspa LLC is a Clinic/Center in West Caldwell, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

761 Bloomfield Ave
West Caldwell, NJ 07006-6701
Phone: (862) 284-3747
Fax: (973) 860-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1447905245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Distefano — Owner · (862) 216-9732
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022
Mailing address761 Bloomfield Ave, West Caldwell, NJ 07006-6701

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